Search results for Pbms

Latest PBM Settlement to Reverberate Through Health Plans

“PBMs and health plans have a symbiotic relationship. There will be discomfort not only for PBMs but for health plans in the short term," said Theresa Carnegie of Mintz, Levin, Coh...

The Big Three PBMs’ 2026 Formulary Exclusions: MFP, Private Label Biosimilars, and Direct-to-Patient Threats for PBMs (r...

This week, we're rerunning some popular posts while we prepare for Friday’s live video webinar: PBM Industry Update 2026: Trends, Challenges, and What’s Ahead. Click here to see...

The War Against PBMs Is Just Getting Started — And It’s About Time

The War Against PBMs Is Just Getting Started — And It’s About Time Anonymous (not verified) Tue, 04/28/2026 - 14:16 pharmagather item url The War Against P...

<![CDATA[New Federal Market Access Restrictions: Optimizing Manufacturer Strategies as PBMs Gain Power]]>

The Top 15 Specialty Pharmacies of 2025: PBM-Affiliated Pharmacies Dominate While Health Systems and Independents Gain G...

By Adam J. Fein, Ph.D.Drug Channels Institute’s (DCI’s) latest analysis reveals that PBM-affiliated specialty pharmacies continue to dominate the dispensing of specialty drugs....

The Top 15 Specialty Pharmacies of 2025: PBM-Affiliated Pharmacies Dominate While Health Systems and Independents Gain G...

The Top 15 Specialty Pharmacies of 2025: PBM-Affiliated Pharmacies Dominate While Health Systems and Independents Gain Ground Anonymous (not verified) Tue, 04/21/2026 - 08:11...

Latest PBM Reform Developments Keep Vertical Integration in the Crosshairs

The PBM industry continues to evolve through legislative action, litigation, and voluntary industry changes. Below is a brief round-up of recent developments including new federal...

Navigating PBM Reform: Regulatory Changes, Market Shifts, and Practical Guidance for ERISA Fiduciaries

Pharmacy Benefit Manager (“PBM”) arrangements have long relied on rebates with limited transparency into true drug costs. Recent regulatory and market developments represent a shif...

DOL’s Proposed PBM Fee Disclosure Rule: Key Themes from the Public Comments

As previously reported, the Department of Labor (DOL) released a proposed rule (Proposed Rule) on January 30, 2026, targeting ERISA disclosure obligations applicable to PBMs. The p...

PBM Shakeout: How Vertical Integration Is Reshaping What’s Next (VIDEO)

PBM Shakeout: How Vertical Integration Is Reshaping What’s Next (VIDEO) Anonymous (not verified) Wed, 05/20/2026 - 08:35 pharmagather item url PBM Shakeout...

PBM Shakeout: How Vertical Integration Is Reshaping What’s Next (VIDEO)

Here at Drug Channels, we’ve been closely tracking the evolution of the pharmacy benefit management (PBM) industry for many years. The short video below—excerpted from DCI’s rec...

Optum Rx unveils new transparent PBM model

UnitedHealth Group's pharmacy benefit manager, Optum Rx, is making the shift to a more transparent model, the company announced Monday.

TN Senate advances bill that would restrict PBM-owned pharmacies

JOHNSON CITY, Tenn. (WJHL) - The Tennessee Senate voted to advance Senate Bill 2040, which would prohibit pharmacy benefit managers (PBMs) from owning or controlling a Tennessee ph...

NJ Assembly advances PBM reform bill to cut drug costs

The New Jersey General Assembly advanced a measure that aims to lower prescription drug costs, increase transparency and regulate PBMs in New Jersey's healthcare system. The post N...

Federal and State Policymakers Push Forward with PBM and Drug Pricing Reform Even in the Wake of Sweeping Actions Earlie...

Despite the flurry of reform activity throughout the first quarter of 2026, the pace of new PBM regulation and drug pricing reforms shows no sign of tapering off. Instead, both fed...

Will Tennessee’s PBM Bill Face the Same Fate as Arkansas’ Law?

Tennessee lawmakers recently passed a bill banning PBMs from owning pharmacies in the state, though like a similar Arkansas law, it is expected to face legal challenges if enacted....

States Continue to Advance New PBM and Drug Pricing Legislation in 2026

While federal and state legislators contemplate the next wave of PBM and drug pricing reform, legislatures in Virginia and Ohio have already sent significant legislation addressing...

Bipartisan lawmakers reintroduce bill barring PBMs from owning pharmacies

A bipartisan group of lawmakers in both chambers of Congress has reintroduced a bill aimed at barring companies from owning both a pharmacy benefit manager and retail pharmacies.

Emerging Alternatives for GLP-1 Prescription Drug Coverage: What Plan Sponsors Need to Know

As GLP-1 medications become an increasingly significant cost driver for employer-sponsored health plans, plan sponsors are seeking creative solutions beyond conventional pharmacy b...

Drug Channels News Roundup, May 2026: My $0.02 on Optum Rx’s Transparency, Must-Read 340B History, PBM Unbundling Update...

By Adam J. Fein, Ph.D.Summer unofficially kicked off last weekend. So fire up the grill and enjoy these noteworthy delicacies, seared to perfection on the Drug Channels barbeque:...

Warren, Hawley, Harshbarger, Auchincloss Renew Bipartisan Push to Rein in Pharmacy Benefit Managers (PBMs), Cut Drug Cos...

Survey: Employers seeking greater transparency from pharmacy benefits

Employers want greater transparency in their pharmacy benefits, with many viewing a model that eschews rebates as a key way to get there, according to a new survey.

PE-backed Chartis subsidiary HealthScape Advisors acquires indie pharmacy PayerAlly

HealthScape Advisors is a payer advisory firm. The post PE-backed Chartis subsidiary HealthScape Advisors acquires indie pharmacy PayerAlly appeared first on PE Hub.

Sixth Circuit Holds ERISA Preempts Tennessee’s Pharmacy Anti-Steering Laws

What Happened: In McKee Foods Corp. v. BFP Inc., decided April 7, 2026, the Sixth Circuit affirmed that ERISA preempts two Tennessee laws intended to prevent pharmacy benefit manag...